Application of self-made vestlike dressing device in patients with breast cancer after the operation
10.3760/cma.j.issn.1674-2907.2014.05.035
- VernacularTitle:自制背心组合包扎装置在乳腺癌术后患者中的应用
- Author:
Yufen LIU
1
;
Nan YAO
;
Yumeng ZHANG
;
Guochao ZHANG
Author Information
1. 100029,北京中日友好医院普通外科
- Keywords:
Breast cancer;
Technical improvement;
Subcutaneous hydrops;
Self-made vestlike dressing device;
Comfort
- From:
Chinese Journal of Modern Nursing
2014;20(5):595-599
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the clinical effect and economic utility of self-designedvestlike dressing device in patients with breast cancer after the operation.Methods Sixty patients who met the inclusion criteria were randomly divided into the self-made vestlike dressing device group (the observation group) and the self-adhesive elastic bandage group (the control group),each with 30 cases.The quantity of postoperative drainage,the time of intubation,the rate of subcutaneous hydrops and flap necrosis,the degree of discomfort were compared between the two groups.Results The differences were found in the quantity of drainage the first and third day after the operation,the quantity of drainage from axillary approach and chest wall between the two groups (P ＜ 0.05).In the two groups,the quantity of drainage were respectively (562.1 ± 107.3) ml and (986.9.6 ± 208.1) ml; the time of intubation were respectively (9.8 ± 2.1) d and (13.0 ± 4.7) d ; the scores of comfort were respectively (1.4 ± 0.8) and (2.5 ± 0.7) on the first day after the operation,and were (1.4 ± 0.8) and (2.8 ± 0.6) on the third day after the operation; and the differences were statistically significant (t =-3.246,-2.422,-3.816,-4.457,respectively ;P ＜ 0.01).The fee and time of bandage were respectively (259.7 ± 36.0) yuan,(32.1 ± 5.8) s in the observation group,and were (430.2 ± 119.3) yuan,(85.3 ± 21.9) s in the control group,and the differences were statistically significant (t =-5.309,-8.82,respectively;P ＜ 0.01).The rate of subcutaneous hydrops was 33.3％ in the control group,and was significantly higher than 3.33％ in the observation group,and the difference was statistically significant (x2 =9.017,P ＜0.01).No the occurrence of flap necrosis was found in the two groups.Conclusions Application of self-made vestlike dressing device in patients with breast cancer after the operation can reduce the quantity of postoperative drainage,the time of intubation and the rate of subcutaneous hydrops,relieve the degree of discomfort in patients,and is worthy of clinical promotion.
